Organization
ANNE C KOZEK, RD,MS,LDN YOUR CREATIVE NUTRITION RESOURCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE CATHERINE KOZEK RD,MS,LDN (DIETITIAN/OWNER)
(773) 429-9614
Entity
Organization
Contact information
Practice address
2738 W 111TH ST, CHICAGO, IL 60655-1832
(773) 429-9614
Mailing address
2738 W 111TH ST, CHICAGO, IL 60655-1832
(773) 429-9614
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.001499
IL
Other
Enumeration date
07/30/2009
Last updated
07/30/2009
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